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Doctor insights on:
Maxillary Spine Fracture

1

Not usually:
Need to allow the swelling to go down and if that is the only issue , then surgery is not needed , but there could be cartilage damage in the nose area and that requires a physician exam to make a decision.
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A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or non-displaced, stable or unstable.
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2

Orthopedic consult:
Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon!
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3

Yes, it should if-:
-U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion.
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5

That is normal:
The radiologist when they read a film will often say what they don't see to show that they looked for it. A focal bone lesion is a tumor or fracture. A compression fracture is a fracture from trauma or osteoporosis. Disc loss height and degenerative body spurs are signs of arthritis. So what you quote here is the radiologist saying that they do not see any of that.
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8

This is not :
The same as a compression fracture. A compression fracture can result in anterior wedging, but not all anterior wedging is compression fracture. If there are up to 3 consecutive vertebral bodies with anterior wedging, then it may represent scheuermann's kyphosis which is a congenital osteodystrophy, that lead to vertebrae appearing wedged. Fracture is less likely given your age. See a specialist.
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10

Potentially :
A spondylolisthesis refers to a condition in which one vertebrae shifts forward on another. There are multiple potential causes. One cause can be degenerative, as noted in the degenerative changes in your facet joint. Another type is called "isthmic" which requires a bilateral pars defect to occur.
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11

Probably:
Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films.
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12

Trimalleolar fractur:
A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint
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13

See orthopedic surg:
Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course.
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15

Yes, it should if-:
-U expect 2 have a functioning knee 4 the rest of Ur life. It can only separate more, & a simple reduction & fixation will do what U want it 2 do, reunite the fragment 2 the tibia. The image is a tear & requires a major reconstruction if not fixed. U risk the fragment becoming a nonunion.
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16

If you statement is-:
-true, it should be obvious on an MR. In this case I would check 2 be sure that there was not a mixup in identification of whose images are whose. Be sure that they are your images.
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18

Below the ball porti:
The upper arm is the humerus bone and at the top is shaped like a ball sitting on a tube, where the tube flares and the ball starts is the sub capital humeral neck-a common area for fracture.
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19

Yes, if multiple:
Snapping scapula syndrome arises from either a soft-tissue or a skeletal anomaly within the scapulothoracic
space that creates a cracking sound during scapulothoracic motion that patients associate with pain.
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20

It does NOT:
Appear to be indicating there is too much to worry about. The first sentence in your question is a normal finding. Mild scoliosis, is nothing to worry about, given there is less chance of it progressing since you are done growing. T7 wedging may represent a normal finding -- possibly a congenital osteodystrophy, which lead to the vertebra not appearing like a cube. See a spine specialist.
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Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to be about 10-12 weeks.
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